| NPI | 1245472190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: FL ME 123081) |
| Additional Taxonomies | 2080P0205X Pediatrics, Pediatric Endocrinology (Licence: CA A120474) |
| Enumeration Date | 2009-03-24 |
| Last Update Date | 2015-07-01 |